| NPI | 1023548237 |
|---|---|
| Former Name | ELIZABETH BERTUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14162) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 198734) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-07-03 |